欧洲精神病学协会关于与患者及其家属沟通的伦理方面的政策文件。
European Psychiatric Association policy paper on ethical aspects in communication with patients and their families.
机构信息
Department of Medical Science and Public Health, Psychiatric Unit, University Hospital Cagliari, Cagliari, Italy.
National Centre for Suicide Research and Prevention of Mental Ill-Health (NASP) LIME, Karolinska Institutet-CHIS, Stockholm, Sweden.
出版信息
Eur Psychiatry. 2020 Apr 1;63(1):e36. doi: 10.1192/j.eurpsy.2020.33.
BACKGROUND
Establishing a valid communication is not only a basic clinical need to be met but also a relevant ethical commitment.
METHODS
On the basis of the relevant literature, ethical issues arising from specific, important situations in clinical practice were identified.
RESULTS
The main ethical problems regarding communication about the disorder, both in general and in relation to prodromal stages, were described and discussed together with those regarding communication about voluntary and involuntary treatments, "dual roles" enacted in clinical practice, genetic counseling, and end-of-life conditions; on the basis of what emerged, ethically driven indications and suggestions were provided.
CONCLUSIONS
Several situations put the psychiatrist in front of relevant dilemmas and doubts which are no easy to face with; an ethically driven approach based upon the principle of the best interest of patients may support clinicians in their decisions.
背景
建立有效的沟通不仅是满足基本的临床需求，也是相关的伦理承诺。
方法
基于相关文献，确定了临床实践中特定重要情况下出现的伦理问题。
结果
本文描述并讨论了与障碍相关的沟通中出现的主要伦理问题，包括一般情况下和前驱阶段的情况，以及与自愿和非自愿治疗、临床实践中“双重角色”、遗传咨询和临终条件相关的沟通问题；在此基础上，提出了伦理驱动的指示和建议。
结论
一些情况使精神科医生面临着重大的困境和疑虑，这些问题并不容易解决；基于患者最佳利益原则的伦理驱动方法可以支持临床医生做出决策。
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